How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | None | $34.67 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $43.65 Typical High $54.95 | Professional | None | $23.99 | $43.65 | $54.95 |
Hally Health Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $28.18 | Professional | None | $16.60 | $20.89 | $28.18 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $117.49 | Facility | None | $39.81 | $52.48 | $117.49 |
Medica Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $204.17 | Professional | None | $21.38 | $38.02 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $169.82 Typical High $199.53 | Professional | None | $147.91 | $169.82 | $199.53 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $38.90 | Professional | None | $19.95 | $25.12 | $38.90 |
Wellmark Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.92 | $7.08 | $7.08 |
Where Iowa sits
The same service costs 4.4 times more in Wyoming than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 14th of 51
$35.48
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.